J Korean Foot Ankle Soc.  2016 Jun;20(2):88-91. 10.14193/jkfas.2016.20.2.88.

Minimally Invasive Repair Technique of Achilles Tendon Using Sponge Forceps: A Technical Report

  • 1Department of Orthopedic Surgery, Gyeongsan Joongang Hospital, Gyeongsan, Korea.
  • 2Department of Orthopedic Surgery, Yeungnam University Medical Center, Daegu, Korea. chpark77@naver.com


Various minimally invasive repair techniques have been performed for acute Achilles tendon rupture. Despite this, it is difficult to use these techniques in common practice because of the necessity of special instruments. We propose a novel minimal invasive technique using sponge holding forceps, which are commonly used in the operating room for the acute Achilles tendon rupture.


Achilles tendon; Acute rupture; Minimally invasive technique

MeSH Terms

Achilles Tendon*
Operating Rooms
Surgical Instruments*


  • Figure 1. (A, B) Sponge holding forceps are inserted between the tendon and the paratenon to the proximal stump of the tendon and a long straight needle threaded with a No. 2 Ethibond (Ethicon, Somerville, NJ, USA) is passed through the hole of the sponge holding forceps. (C, D) Both ends of a No. 2 Ethibond are drawn down into the wound by pulling on the sponge holding forceps. (E∼G) No. 2-0 Ethibond is passed at slightly distal level using same procedure. (H, I) Both ends of No. 2 Ethibond are passed to the opposite sites using the shuttle relay technique. (J∼L) This procedure is repeated at two different levels on both the proximal and distal stumps on the tendon. (M, N) Both ends of the sutures are tied with the ankle held in 20° plantar flexion.


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